Bend With Mel - Summer Acro Intensive 2021 Registration
6 Week Acro Intensive
Dates: July 27-August 31, 2021
(payment to be done separately at a later date)
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Email *
Participant's Name (first and last name) *
Participant's Birthday *
MM
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DD
/
YYYY
Parent/Guardian Name (if participant is under 18 years of age) *
Phone Number *
Class Registering for *
Required
I will print and fill out a waiver form and bring it to the first class or fill one out electronically and email it in before the first class. *
Required
I understand that completion of this form does not guarantee my place in a class. Respondents will receive email within 2-3 days notifying them whether or not they have received one of 10 spaces in a class or if they have been waitlisted.
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